What is a Facelift?
Gravity, sun exposure, stress, and genetic factors contribute to creases formed between the nose and mouth, a slack jawline, and loose skin around the neck. At some point in your life you may look in the mirror or see a photograph of yourself and decide that the face that you see does not reflect the way you feel about yourself.
Dr. Siwy now offer procedures tailored to the individual patient's needs and desires.
For those wishing for a mild to moderate improvement in about an hour under sedation, we offer a Minimal Impact Lift. For those who desire and need more correction, a short scar face lift under general anesthesia may be best. Finally, we offer a full facelift under general anesthesia with a full scar for those desiring the most change and improvement.
A facelift will not stop the aging process, but it will slow it down, tightening underlying muscles, removing excess deposits of fat, and adjusting facial and neck skin. A facelift can be performed alone, or combined with procedures such as eyelid surgery / blepharoplasty, rhinoplasty, or other facial rejuvenation procedures.
Most patients who receive facelifts are between the ages of 40 and 60, though Dr. Siwy can successfully operate on patients in their 70s and 80s as well. Good candidates for a facelift are healthy individuals with loose skin, wrinkles, excess fatty tissue in the neck, deep wrinkles in the cheeks, or sagging skin in the jowl area.
Minimal Impact Lift
You asked and we listened. Dr. Siwy recognizes there are patients that for a variety of reasons do not want a full facelift. Whether you are beyond what fillers and Botox® can do but are not ready for the "real deal" or you are concerned with the down time associated with the bigger face lift surgeries, this minimal lift may be for you. Minimal Impact Lift is done in the operating rooms so that full monitoring is provided.
Dr. Siwy will need to see you to determine whether or not you are a candidate for this procedure, it is a great option to bridge the gap between fillers and the full lift.
Short Scar Facelift
A short scar facelift is just what it sounds like, a face lift with a short scar. The scar is shorter with a lift directed more "up" rather than "back." This surgery is perfect for those with moderate facial aging but not a great deal of excess skin. A shorter scar is easier to hide with less distortion of the hairline. While this surgery is done under general anesthesia, most patients are able to go home that night as there is less skin undermining and less concern about hematoma formation. While recovery time for the short scar lift is greater than that of the Minimal Impact Lift, it is significantly shorter than that of a full face lift.
Full Facelift Surgery
A facelift can be done on an outpatient basis. In most cases, patients stay in the hospital for one day when using general anesthesia. The actual facelift procedure takes several hours or sometimes longer if you are combining facial rejuvenation procedures. For more extensive facelift surgeries, two separate surgical sessions may be necessary. There are many variations to the facelift procedure. Your hairline and your individual anatomy will be examined to determine where incisions can be most discreetly placed.
Dr. Siwy begins incisions above the hairline around the temples, extending along the contour of the ear, and continuing behind the earlobe. If neck work is required, a small incision may be placed under the chin. In general, the skin is separated from the fat and muscle and excess fat may be removed from the chin and neck area. The underlying membrane and loose muscle tissue is then tightened, and the skin is pulled back into place.
After All Facelift Surgeries
Your head may be loosely wrapped in bandages to minimize swelling and post-surgical bruising. Pain following a facelift is often minimal. Numbness following facelift surgery is normal and usually fades after a few weeks.
Any bandages are usually removed the morning after the facelift. Your face will initially look puffy, bruised, and pale but will return to normal in a few weeks. Stitches will be removed approximately five days after the facelift surgery; sutures along your hairline may need additional time to heal.
You should not engage in any strenuous activity for at least a week after surgery. You must be especially gentle with your hair, hairline, and face. Your skin will be numb and tender and may not respond to stimuli as it normally did. Make sure you get plenty of rest so that you heal quickly. After a facelift, your face may look and feel strange. Bruising may persist after a facelift for two to three weeks and you may experience fatigue rather easily. By the third week after your facelift, you should look and feel much better. Most facelift patients return to work 10 days to two weeks after their surgery.
Although usually minor and infrequent, complications that can occur following a facelift include hematoma (a collection of blood under the skin that must be removed), temporary or very rarely permanent injury to the nerves that control facial muscles, infection, and negative reactions to the anesthesia. Poor skin healing or abnormal scarring is also a potential risk after facelift surgery; it is much more likely in smokers compared to non-smokers